Individual
PAUL MAVERICK MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
155 E SILVER SPRING DR, MILWAUKEE, WI 53217-4704
(414) 324-7801
Mailing address
5160 N LYDELL AVE, MILWAUKEE, WI 53217-5532
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
WI
103TH0004X
Health Psychologist
—
WI
171400000X
Health & Wellness Coach
Primary
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
05/23/2023
Last updated
09/03/2024
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